STEVEN JOSEPH DIBIASE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

STEVEN

Middle

JOSEPH

Last Name

DIBIASE

Business Name

STEVEN JOSEPH DIBIASE MD

Original Issue Date

08/28/2014

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

NEW ORLEANS

State

Zip

70112

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021